Individual
DR. MAGERY NAGARAJA SATISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
99 HOLLYWOOD DR, SMITHTOWN, NY 11787-3135
(631) 366-5800
(631) 366-2935
Mailing address
8 ROBERT CRES, STONY BROOK, NY 11790-3204
(631) 689-3504
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
NY193882
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01457510
—
NY
Enumeration date
02/05/2007
Last updated
07/08/2007
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